International Journal of Clinical Research
International Journal of Clinical Research. 2024; 8: (11) ; 10.12208/j.ijcr.20240450 .
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内蒙古呼和浩特市第一医院胸外科 内蒙古呼和浩特
*通讯作者： 周晨菲,单位：内蒙古呼和浩特市第一医院胸外科 内蒙古呼和浩特；
目的 对比胸腔镜下肺下叶楔形切除术后传统引流管与留置猪尾引流导管的效果差异。方法 回顾性分析2018年1月至2023年12月在我院诊断为肺结节或早期恶性肿瘤并接受胸腔镜微创肺楔形切除术的患者。共纳入符合入选标准的患者68例，患者分为普通引流管组38例，留置猪尾引流导管组30例。比较普通引流管与留置猪尾引流导管的术后的临床相关结果的效果差异。结果 普通引流管组留置猪尾引流导管组对比因置管发生少量出血次数更少，P<0.05；术后胸腔引流量更少，P<0.05；术后应用数字评分量表（NumericalRating Scale，NRS）评估疼痛，疼痛评分更低P<0.05。两组间拔管前残存少量胸腔积气或积液发生率差异无统计学意义。两组间术后其他手术相关并发症发生率差异无统计学意义。结论 与普通胸腔引流管相比，胸腔镜下肺下叶楔形切除术后普通引流管与留置猪尾引流导管是一种加快康复和减轻术后疼痛的可推广方法。
Objective To compare the effect of conventional drainage tube and indwelling pigtail drainage catheter after thoracoscopic wedge resection of the lower lobes. Methods A retrospective analysis was performed on patients who were diagnosed with pulmonary nodules or early malignant tumors and underwent thoracoscopic minimally invasive wedge resection of the lung in our hospital from January 2018 to December 2023. A total of 68 patients who met the inclusion criteria were included, and the patients were divided into 38 patients in the conventional drainage tube group and 30 patients in the indwelling pigtail drainage catheter group. The effect of conventional drainage tube and indwelling pigtail drainage catheter on the clinically relevant outcomes after surgery was compared. Results Compared with the group with pigtail drainage catheter, the group with common drainage tube had less bleeding due to catheterization (P<0.05); the postoperative chest drainage volume was less (P<0.05); the pain score was lower when the numerical rating scale (NRS) was used to evaluate the pain after surgery (P<0.05). There was no significant difference in the incidence of residual pleural effusion or fluid before extubation between the two groups. There was no significant difference in the incidence of other postoperative complications between the two groups. Conclusion Compared with common chest drainage tube, common drainage tube and pigtail drainage catheter after thoracoscopic wedge resection of the lower lobe are a popularizable method to accelerate recovery and reduce postoperative pain.
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